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An updated analysis of opioids increasing the risk of fractures.

ABSTRACT: OBJECTIVE:To assess the relationship between opioid therapy for chronic noncancer pain and fracture risk by a meta-analysis of cohort studies and case-control studies. METHODS:The included cohort studies and case-control studies were identified by searching the PubMed and EMBASE databases from their inception until May 24, 2019. The outcome of interest was a fracture. This information was independently screened by two authors. When the heterogeneity among studies was significant, a random effects model was used to determine the overall combined risk estimate. RESULTS:In total, 12 cohort studies and 6 case-control studies were included. We used the Newcastle-Ottawa Scale (NOS) to evaluate the quality of the included literature, and 14 of the studies were considered high-quality studies. The overall relative risk of opioid therapy and fractures was 1.78 (95% confidence interval (CI) 1.53-2.07). Subgroup analyses revealed sources of heterogeneity, sensitivity analysis was stable, and no publication bias was observed. CONCLUSIONS:The meta-analysis showed that the use of opioids significantly increased the risk of fracture.

SUBMITTER: Yue Q 

PROVIDER: S-EPMC7145014 | biostudies-literature | 2020

REPOSITORIES: biostudies-literature

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An updated analysis of opioids increasing the risk of fractures.

Yue Qiaoning Q   Ma Yue Y   Teng Yirong Y   Zhu Yun Y   Liu Hao H   Xu Shuanglan S   Liu Jie J   Liu Jianping J   Zhang Xiguang X   Teng Zhaowei Z  

PloS one 20200409 4

<h4>Objective</h4>To assess the relationship between opioid therapy for chronic noncancer pain and fracture risk by a meta-analysis of cohort studies and case-control studies.<h4>Methods</h4>The included cohort studies and case-control studies were identified by searching the PubMed and EMBASE databases from their inception until May 24, 2019. The outcome of interest was a fracture. This information was independently screened by two authors. When the heterogeneity among studies was significant,  ...[more]